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Department of Computer Science, H.P. University, Shimla (For Office Use Only: Diary No. ___________ Roll No.

____________)
LAST DATE FOR RECEIPT OF APPLICATION FORM: 02-05-2012 (UPTO 5:00 P.M.)
Department of Computer Science, H.P. University, Shimla 171005

APPLICATION FORM FOR MCA ENTRANCE TEST 2012


(To be filled by the Candidate in his/her own handwriting)

Centres for the appearing in Entrance Test (Indicate only one): a) H.P. University Campus, Summer Hill, Shimla b) Government College, Mandi c) Government College, Hamirpur d) H.P. University Regional Centre, Dharamshala, Kangra
(In case, the option is not given, Shimla centre will be allotted by the Office)

1. Name: ___________________________________________
(IN CAPITAL LETTERS)

2. Fathers Name: ____________________________________ 3. Mothers Name: ____________________________________

Affix your duly attested recent passport size photograph here (No photocopy of photograph is allowed)

4. Date of Birth: ______________ Age on 1st July 2012: ___ Years ___ Months 5. Nationality: _____________________________6. Sex: ________
NHPU HPU 7. Graduation from HPU or Other University (Tick one of these): 8. Are you Bonafide resident of Himachal Pradesh (Tick one of these): YES NO 9. Indicate only one out of the following categories in the given box: (1)Scheduled Caste (2) Schedule Tribe (3) IRDP/Antodaya (4) General 10. Are you the only child of your parents who is a girl (Tick one of these): YES NO 11. Academic Qualifications: Examination passed Name of Board/ University Year Marks Obtained Maximum Marks %Marks* Exam** Roll No.

Matric or equivalent +2 or Equivalent B.A./B.Sc./B.COM./B CA/BIT or Equivalent Note: * Correct up to two decimal places, ** Exam Roll No. of Qualifying Examination must be given.

12. Were you ever disqualified/ suspended by the University or any other Institution from attending classes or appearing in any exam? If yes, give details: _____________________________________________________________________ _____________________________________________________________________ 13. Address for Correspondence (IN CAPITAL LETTERS): _____________________________________________________________________ _____________________________________________________________________ ______________________Telephone No. ________Mobile No.: ________________ 14. Permanent Home Address (IN CAPITAL LETTERS): _____________________________________________________________________ _____________________________________________________________________ ___________________Telephone No. ___________Mobile No.: ________________ 15. In case, you are not selected for the subsidized seat, are you interested to be considered for the non- subsidized seat (Please tick YES or NO): YES NO 16. Fee details: DD/IPO (In favour of Chairman, Department of Computer Science, H.P. University, Shimla and payable at Shimla) No. ________________________________, Dated ________ Amount: ___________ (Rs.650/- for general category and Rs.325/- for SC/ST/IRDP/ANTODAYA)

Department of Computer Science, H.P. University, Shimla


I declare that the entries made by me in this application from are correct to the best of my knowledge. I am conscious of the f act that if any of the entries is found to be incorrect, my admission is liable to be cancelled. I have read carefully the Information Brochure for admissions to MCA course 2012 hosted on the website of the Department of Computer Science, H.P. University, Shimla and I undertake to abide by the rules and regulations of the University. I shall abide by the rules and regulations mentioned in the Hand Book of Information of Himachal Pradesh University, Shimla-5. I hold myself responsible for payment of University dues on dates according to the schedule given in the prospectus. I shall fulfill the attendance requirements as given in the prospectus failing which I shall have no claim to sit in the examinations. I understand that merely appearing in the entrance exam does not entitle me for the right to admission unless I fulfill the eligibility criteria for admission to the MCA course. I declare that if I am found to have been involved in the act/s of ragging /indiscipline /misconduct during my studies at the Institution / Hostels / any Premises of the University, I may be dealt with as per provision of statute of H.P.University and recommendations of the Committee constituted by the Honble Supreme Court of India in SLP.No.24295 of 2006 (Raghvans Committee Report)

Declaration by the Applicant and Father/ Guardian

Signature of Father/ Guardian For Office Use Only 1. Diary Number: 2. Roll Number Assigned: 4: Category: 5. Internal/Open: 7. H.P. Bonafide: Yes/No 8.Marks in Qual. Exam (%): 10. Single Girl Child: Yes/No 11.Reason, if no Eligible: 12.Remarks, if any: Checked by: Signature
prospectus before filling up the applications form.
INSTRUCTIONS

Date:

Signature of Applicant 3. Centre Assigned: 6. Age Within Age/Overage: 9. Eligibility: Eligible/Ineligible

Checked by: Signature

NOTE: Please read carefully the following instructions and the eligibility conditions given in the

1. Affix your three latest attested passport size photographs at the appropriate places. (Xeroxed copies shall not be accepted). 2. Fill in the required information in every column accurately. Do not leave any column blank. The information supplied by the candidate especially relating to DATE OF BIRTH, CATEGORY, ONLY CHILD WHO IS A GIRL, DOMICILE, and ACADEMIC QUALIFICATION shall be treated as final and no change shall be allowed to be made in this regard at a later stage. The applications shall be scrutinized strictly according to the information supplied by the candidate and the responsibility with regard to the accuracy of the information shall lie with the candidate himself/herself supplying the marks of qualifying examination required for admission shall be the responsibility of the candidate. 3. The completed application form accompanied by duly stamped admit card, result-cum-interview card identification sheet should be sent to: The Chairman, Computer Science Department, Himachal Pradesh University, Summer Hill Shimla (H.P.) 171005. The original certificates and testimonials shall be seen only at the time of interview for admission. 4. The candidate should not attach any certificate with the application form. The attested copies of the certificates are to be deposited at the time of counseling only.

Department of Computer Science, H.P. University, Shimla


Department of Computer Science Himachal Pradesh University, Summer Hill, Shimla 171005 Affix your duly attested recent passport size photograph here (No photocopy of photograph is allowed)

ADMIT CARD FOR MCA ENTRANCE TEST 2012


(To be filled in by the candidates)

Candidates Name: ____________________________________________ Fathers Name: _______________________________________________ Specimen Signature: ___________________________________________ Exam Centre: _________________________________________________ Roll No.: _________________________ (To be assigned by the Office) INSTRUCTIONS

1 If a candidate fails to receive the roll number five days prior to the holding of the entrance test, he/she himself/ herself should enquire from the Department of Computer Science about his/ her eligibility etc. LATEST BY FOUR DAYS BEFORE THE COMMECEMENT OF THE TEST. No enquiry shall be entertained after this period. 2 This roll number is only provisional and does not ensure admission/ eligibility in the MCA course. 3 In the absence of requisite postal stamps the admit card shall not be sent to the candidate. 4 Answers must be written in blue/ black pen. Ink of any other colour is not permitted.

Name________________________________ Postal Address_________________________

Affix Rs. 6/- postal stamps

_________________________________________________________________ _________________________________________________________________ ________________________________________________________________

PIN_____________________ Chairman,Department of Computer Science, H.P.University,Shimla-5

Department of Computer Science, H.P. University, Shimla

Department of Computer Science Himachal Pradesh University, Summer Hill, Shimla 171005

MCA ENTRANCE TEST 2012 Identification Sheet


(To be filled in by the candidates) 1.

Name of the Candidate: ______________________________________________


(IN CAPITAL LETTRS)

2. Fathers Name: _____________________________________________ 3. Specimen Signature of the candidate: ___________________________ (FOR OFFICE USE ONLY) 4. Entrance Test Roll No.: _______________________________ 5. Centre: ___________________

Affix your duly attested recent passport size photograph here (No photocopy of photograph is allowed)

(Signature of the Candidate during test)

(Signature of the Invigilator)